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General NPI Number Information
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NPI Number | 1043801152
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Entity Type | Organization
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Legal Business Name | DWW PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 02/01/2021
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Last Update Date | 02/01/2021
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Provider Practice Location Address
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Address Line | 4600 CONNECTICUT AVE NW STE 224
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City | WASHINGTON
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State | DC
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Zip | 20008-5702
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Country | US
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Telephone | 301-520-2808
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 CONNECTICUT AVE NW STE 224
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City | WASHINGTON
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State | DC
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Zip | 20008-5702
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Country | US
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Telephone | 301-520-2808
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER/CLINICAL PSYCHOLOGIST
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Name | DR. KARIMAH WARE
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Credential | PSY.D.
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Telephone | 301-520-2808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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